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IMAGING & MEDICAL DIAGNOSTIC SPECIALISTS P.A. NPI 1801897905


NPI Information

NPI: 1801897905
Provider Name: IMAGING & MEDICAL DIAGNOSTIC SPECIALISTS, P.A.

Doing Business As: CENTRAL IMAGING OF ARLINGTON

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

CLIA Number: 45D1095362

Address:
3100 MATLOCK RD STE 105
ARLINGTON, TX
ZIP 76015
Phone: (817) 543-2412
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IMAGING & MEDICAL DIAGNOSTIC SPECIALISTS, P.A. is a radiology clinic center in Arlington, TX. IMAGING & MEDICAL DIAGNOSTIC SPECIALISTS, P.A. NPI is 1801897905. The provider is registered as an organization entity type.
The provider Is Doing Business As Central Imaging Of Arlington.

The provider's business location address is:

3100 MATLOCK RD STE 105
ARLINGTON, TX
ZIP 76015-900
Phone: (817) 543-2412

The provider's authorized official is Dee L Dobbs .
The authorized official title is Manager and has the following contact phone number (817) 306-0215.

The CLIA number assigned to this NPI record is 45D1095362 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2005 and was last updated on 8/2/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0200XClinic/CenterRadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1145359901MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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